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NPI Code Detail

MEDICARE: MELINDA HARRIS

MEDICARE:   MELINDA  HARRIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1114882024
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA HARRIS
Provider Business Mailing Address
First Line : 3259 N 1ST ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-2060
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3259 N 1ST ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-2060
Country : US
Telephone Number : 262-617-6061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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Directions to “ MELINDA HARRIS ” Practice Location

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